Question 1

Match the preferred host with the correct animal(s)or birds.
-Preferred host for I.scapularis adult stage.

Accepted Answer

A) White-footed mouse 
B) White-tailed deer 
A) White-footed mouse 
B) White-tailed deer B

Question 2

The CLIA-waived procedure for presumptive testing for Lyme disease is the:

Accepted Answer

A)  ELISA 
B)  Western blot test. 
C)  indirect fluorescent antibody (IF
A) . 
D)  PreVue assay for Borrelia burgdorferi. 
A)  ELISA 
B)  Western blot test. 
C)  indirect fluorescent antibody (IF
A) . 
D)  PreVue assay for Borrelia burgdorferi. D

Question 3

Serologic assays for Lyme disease are:

Accepted Answer

A)  highly specific in the early stages. 
B)  highly sensitive in the early stages. 
C)  insensitive during the first several weeks of infection. 
D)  insensitive during the first months of infection. 
A)  highly specific in the early stages. 
B)  highly sensitive in the early stages. 
C)  insensitive during the first several weeks of infection. 
D)  insensitive during the first months of infection. C

Question 4

Match the Ehrlichia species developmental stages with the appropriate description.

-Final stage

Accepted Answer

A) Packed elementary bodies (initial bodies)visible 
B) Enter a leukocyte by phagocytosis and multiply rapidly 
C) Morular,or mulberry,forms 
A) Packed elementary bodies (initial bodies)visible 
B) Enter a leukocyte by phagocytosis and multiply rapidly 
C) Morular,or mulberry,forms

Question 5

One of the most widely available assays for antibody in Lyme disease is:

Accepted Answer

A)  EIA for total IgM or IgG antibodies. 
B)  Southern blot test. 
C)  indirect fluorescent antibody (IF
A) . 
D)  RIA. 
A)  EIA for total IgM or IgG antibodies. 
B)  Southern blot test. 
C)  indirect fluorescent antibody (IF
A) . 
D)  RIA.

Question 6

Erythema chronicum migrans (ECM)is the _______________ caused by a tick bite.

Accepted Answer

A)  itchy rash 
B)  red bull's-eye rash 
C)  spirochete-infected skin lesion 
D)  both b and c 
A)  itchy rash 
B)  red bull's-eye rash 
C)  spirochete-infected skin lesion 
D)  both b and c

Question 7

Most U.S.cases of Lyme disease remain concentrated in ____________ regions.

Accepted Answer

A)  northeastern 
B)  north-central 
C)  Pacific coastal 
D)  all of the above 
A)  northeastern 
B)  north-central 
C)  Pacific coastal 
D)  all of the above

Question 8

Match the Ehrlichia species developmental stages with the appropriate description.

-First stage

Accepted Answer

A) Packed elementary bodies (initial bodies)visible 
B) Enter a leukocyte by phagocytosis and multiply rapidly 
C) Morular,or mulberry,forms 
A) Packed elementary bodies (initial bodies)visible 
B) Enter a leukocyte by phagocytosis and multiply rapidly 
C) Morular,or mulberry,forms

Question 9

Match the preferred host with the correct animal(s)or birds.
-Preferred host for larval and nymphal stages of I.scapularis.

Accepted Answer

A) White-footed mouse 
B) White-tailed deer 
A) White-footed mouse 
B) White-tailed deer

Question 10

Match the organism with the appropriate characteristic:
-West Nile virus

Accepted Answer

A) Infects red blood cells 
B) Member of the Japanese encephalitis group 
A) Infects red blood cells 
B) Member of the Japanese encephalitis group

Question 11

Fill in the blanks with the correct pathogen.
Examples of Vector-Borne Diseases
   
A)Bacteria
B)Protozoan parasite
C)Rickettsiae
D)Virus

Accepted Answer

1,D;2,D;3,

Question 12

The diagnosis of Lyme disease in the United States is based on:

Accepted Answer

A)  characteristic clinical findings. 
B)  history of exposure in endemic area. 
C)  erythema migrans (EM)or an antibody response to Borrelia burgdorferi observable by the ELISA or Western blot test. 
D)  all of the above. 
A)  characteristic clinical findings. 
B)  history of exposure in endemic area. 
C)  erythema migrans (EM)or an antibody response to Borrelia burgdorferi observable by the ELISA or Western blot test. 
D)  all of the above.

Question 13

Match the type of tick of the Ixodes ricinus complex with the geographic area of prevalence.

-I.pacificus

Accepted Answer

A) Europe 
B) Western United States 
C) Asia 
D) Northeastern and Midwestern United States 
A) Europe 
B) Western United States 
C) Asia 
D) Northeastern and Midwestern United States

Question 14

Match the type of tick of the Ixodes ricinus complex with the geographic area of prevalence.

-I.ricinus

Accepted Answer

A) Europe 
B) Western United States 
C) Asia 
D) Northeastern and Midwestern United States 
A) Europe 
B) Western United States 
C) Asia 
D) Northeastern and Midwestern United States

Question 15

Lyme disease usually occurs during the summer,with most patients suffering from:

Accepted Answer

A)  flulike symptoms. 
B)  erythema migrans (EM). 
C)  arthritis. 
D)  both a and b 
A)  flulike symptoms. 
B)  erythema migrans (EM). 
C)  arthritis. 
D)  both a and b

Question 16

Match the type of tick of the Ixodes ricinus complex with the geographic area of prevalence.

-I.persulcatus

Accepted Answer

A) Europe 
B) Western United States 
C) Asia 
D) Northeastern and Midwestern United States 
A) Europe 
B) Western United States 
C) Asia 
D) Northeastern and Midwestern United States

Question 17

What is the causative agent of Lyme disease?

Accepted Answer

A)  Herpesvirus 
B)  Borrelia burgdorferi 
C)  Treponema pallidum 
D)  Deer tick 
A)  Herpesvirus 
B)  Borrelia burgdorferi 
C)  Treponema pallidum 
D)  Deer tick

Question 18

Patients with Lyme arthritis should demonstrate positive findings for:

Accepted Answer

A)  serum antinuclear antibodies. 
B)  rheumatoid factor. 
C)  the VDRL test. 
D)  antibodies to Borrelia burgdorferi. 
A)  serum antinuclear antibodies. 
B)  rheumatoid factor. 
C)  the VDRL test. 
D)  antibodies to Borrelia burgdorferi.

Question 19

Match the organism with the appropriate characteristic:
-Babesiosis

Accepted Answer

A) Infects red blood cells 
B) Member of the Japanese encephalitis group 
A) Infects red blood cells 
B) Member of the Japanese encephalitis group

Question 20

The clinical case definition of Lyme disease includes but is not limited to:

Accepted Answer

A)  the presence of erythema migrans. 
B)  at least one objective,late-manifesting sign of musculoskeletal,neurologic,or cardiovascular disease for antibody to Borrelia burgdorferi. 
C)  positive serologic evidence. 
D)  all of the above. 
A)  the presence of erythema migrans. 
B)  at least one objective,late-manifesting sign of musculoskeletal,neurologic,or cardiovascular disease for antibody to Borrelia burgdorferi. 
C)  positive serologic evidence. 
D)  all of the above.

Exam 19: Vector-Borne Diseases

Match the preferred host with the correct animal(s)or birds. -Preferred host for I.scapularis adult stage.

The CLIA-waived procedure for presumptive testing for Lyme disease is the:

Serologic assays for Lyme disease are:

Match the Ehrlichia species developmental stages with the appropriate description. -Final stage

One of the most widely available assays for antibody in Lyme disease is:

Erythema chronicum migrans (ECM)is the _______________ caused by a tick bite.

Most U.S.cases of Lyme disease remain concentrated in ____________ regions.

Match the Ehrlichia species developmental stages with the appropriate description. -First stage

Match the preferred host with the correct animal(s)or birds. -Preferred host for larval and nymphal stages of I.scapularis.

Match the organism with the appropriate characteristic: -West Nile virus

Fill in the blanks with the correct pathogen. Examples of Vector-Borne Diseases A)Bacteria B)Protozoan parasite C)Rickettsiae D)Virus

The diagnosis of Lyme disease in the United States is based on:

Match the type of tick of the Ixodes ricinus complex with the geographic area of prevalence. -I.pacificus

Match the type of tick of the Ixodes ricinus complex with the geographic area of prevalence. -I.ricinus

Lyme disease usually occurs during the summer,with most patients suffering from:

Match the type of tick of the Ixodes ricinus complex with the geographic area of prevalence. -I.persulcatus

What is the causative agent of Lyme disease?

Patients with Lyme arthritis should demonstrate positive findings for:

Match the organism with the appropriate characteristic: -Babesiosis

The clinical case definition of Lyme disease includes but is not limited to:

An Overview of Immunology

Antigens and Antibodies

Cells and Cellular Activities of the Immune System: Granulocytes and Mononuclear Cells

Cells and Cellular Activities of the Immune System: Lymphocytes and Plasma Cells

Soluble Mediators of the Immune System

Safety in the Immunology-Serology Laboratory

Quality Assurance and Quality Control

Basic Serologic Laboratory Techniques

Point-Of-Care Testing

Agglutination Methods

Electrophoresis Techniques

Labeling Techniques in Immunoassay

Automated Procedures

Molecular Techniques

The Immune Response in Infectious Diseases

A Primer on Vaccines

Streptococcal Infections

Syphilis

Toxoplasmosis

Cytomegalovirus

Infectious Mononucleosis

Viral Hepatitis

Rubella and Rubeola Infections

Acquired Immunodeficiency Syndrome

Hypersensitivity Reactions

Immunoproliferative Disorders

Autoimmune Disorders

Systemic Lupus Erythematosus

Rheumatoid Arthritis

Solid Organ Transplantation

Bone Marrow Transplantation

Tumor Immunology

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